Comparison of Effect of Anterior Colporrhaphy and Transobturator Tape Surgeries on Urinary Incontinence and Sexual Performance in Women

Aims: Pelvic floor disorders such as urinary incontinence and pelvic and genital prolapse affect sexual function and quality of life. The aim of the present study was to compare the effect of anterior colporrhaphy and transobturator tape (TOT) surgeries on urinary incontinence and sexual function in women. Materials&Methods: This retrospective cohort clinical trial study was performed on 136 women with pelvic prolapse and urinary incontinence who referred to Shahid Mofatteh Women's Clinic in Yasuj, Iran, from 2016 to 2018. All patients in the two groups of 68 underwent anterior colporrhaphy and TOT surgeries. Non-random sampling method was performed. Data were collected by Pelvic Organ Prolapse Incontinence Sexual Questionnaire (PISQ) and Female Sexual Function Index (FSFI) before and 6 months after surgery, and analyzed using SPSS 20 software through Chi-square test, independent t-test and paired t-test. Findings: 77.9% of women had urinary incontinence or leakage during sneezing, coughing, or sexual intercourse, which improved by 95.6% after surgery. The variables of the PISQ questionnaire were significantly different in terms of behavior and emotions and physical factors, before and after TOT and anterior colporrhaphy surgeries (p<0.05). The average total score of women's sexual function before and after surgery did not show a significant difference (p>0.05). In the TOT surgery group, a significant increase was observed in the areas of sexual desire, sexual arousal, orgasm, and sexual satisfaction after surgery. Conclusion: TOT and anterior colporrhaphy surgeries are effective in relieving urinary incontinence, but TOT surgery is more effective in the long term